Credentialing Specialist
Lumexa Imaging is one of the country's largest providers of outpatient medical imaging. With over 5,000 team members and more than 185 outpatient imaging centers across 13 states, our team conducts more than 4 million outpatient studies annually. We are the partner of choice for health systems and radiologists, delivering best-in-class clinical excellence, operations, and state-of-the-art technology across our platform.
Responsible for all aspects of the credentialing and payer enrollment process for all providers and facilities. Responsible for ensuring providers and facilities are credentialed, and enrolled in accordance with established accreditation, regulatory and policy requirements. Maintain up-to-date data for each provider and facility in credentialing database and online systems.
Essential Duties and Responsibilities:
Compiles and maintains current and accurate data for all providers using the credentialing software.
Completes provider and facility payer enrollment applications; monitors applications to ensure timely start dates and no lapses in enrollment.
Maintains copies and tracks current state licenses, DEA certificates, health history, malpractice coverage and any other required credentialing documents for all providers and facilities.
Maintains knowledge of current accreditation, regulatory and policy requirements.
Other duties or projects as assigned.
Required Experience:
A minimum of two years of Payer and Provider credentialing enrollment experience
Knowledge and Skills:
Knowledge and understanding of the credentialing and enrollment process
Ability to organize and prioritize work and manage multiple priorities
Excellent verbal and written communication skills
Excellent attention to detail
Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization.
Proficient use of Microsoft Office applications (Word, Excel, Access) and credentialing software
CAQH experience strongly preferred
MD Staff software experience strongly preferred
Education/Licensing/Certification:
Associates degree preferred or appropriate combination of education and experience
Lumexa Imaging provides a competitive compensation program to attract, retain, and motivate a high-performance workforce.
Lumexa Imaging is an equal opportunity employer.
Responsible for all aspects of the credentialing and payer enrollment process for all providers and facilities. Responsible for ensuring providers and facilities are credentialed, and enrolled in accordance with established accreditation, regulatory and policy requirements. Maintain up-to-date data for each provider and facility in credentialing database and online systems.
Essential Duties and Responsibilities:
Compiles and maintains current and accurate data for all providers using the credentialing software.
Completes provider and facility payer enrollment applications; monitors applications to ensure timely start dates and no lapses in enrollment.
Maintains copies and tracks current state licenses, DEA certificates, health history, malpractice coverage and any other required credentialing documents for all providers and facilities.
Maintains knowledge of current accreditation, regulatory and policy requirements.
Other duties or projects as assigned.
Required Experience:
A minimum of two years of Payer and Provider credentialing enrollment experience
Knowledge and Skills:
Knowledge and understanding of the credentialing and enrollment process
Ability to organize and prioritize work and manage multiple priorities
Excellent verbal and written communication skills
Excellent attention to detail
Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization.
Proficient use of Microsoft Office applications (Word, Excel, Access) and credentialing software
CAQH experience strongly preferred
MD Staff software experience strongly preferred
Education/Licensing/Certification:
Associates degree preferred or appropriate combination of education and experience
Lumexa Imaging provides a competitive compensation program to attract, retain, and motivate a high-performance workforce.
Lumexa Imaging is an equal opportunity employer.